The medical staff bylaws and rules and regulations, as a minimum, shall:
1. Contain the name of the organization.2. Delineate the organizational structure of the medical staff.3. Specify the qualifications and procedures for admission to and retention of staff membership, including the delineation, assignment, reduction, and withdrawal of clinical privileges.4. Specify the method of reviewing the qualifications of staff members.5. Provide an appeal mechanism relative to medical staff recommendations for denial, curtailment, suspension, or revocation of clinical privileges in any hospital having an open staff. This mechanism shall provide for review of decisions including the right to be heard at each step of the process when requested by the practitioner.6. Delineate clinical privileges of non-physician practitioners, as well as responsibilities of the physician members of the medical staff in relation to non-physician practitioners. A non-physician practitioner is a health professional licensed or otherwise authorized by the state to provide a range of independent or interdependent health services. Such providers include but are not limited to chiropractors, licensed professional counselors, licensed social workers, nurse practitioners/physician assistants (including nurse anesthetists), psychologists, podiatrists, and optometrists.7. Require a pledge that each practitioner will conduct his practice in accordance with high ethical traditions and will refrain from: a. Rebating a portion of a fee, or receiving other inducements in exchange for a patient referral.b. Deceiving a patient as to the identity of an operating surgeon or any other medical practitioner providing services.c. Delegating the responsibility of hospitalized patients to another medical practitioner who is not qualified to undertake this responsibility.8. Provide for methods of selection of officers and clinical department or service chairmen.9. Outline the responsibilities of the medical staff officers and clinical department or service chairmen.10. Specify composition and functions of standing committees or standing committee functions as required by the complexity of the hospital.11. Establish requirements regarding the frequency of and attendance at general and departmental meetings of the medical staff.12. Require that the evaluation of the significance of medical histories, the authentication of medical histories, and the performance and recording of physical examinations and prescribing of treatment be carried out by those with appropriate licenses and clinical privileges within their sphere of authorization.13. Establish requirements regarding the completion of medical records.14. Provide for a mechanism by which the medical staff consults with and reports to the governing body.15. Adopt rules and regulations that contain specific statements covering procedures that foster optimal achievable patient care, including the care provided in the emergency service area.16. Provide that each practitioner shall on application for clinical privileges sign an agreement to abide by the current medical staff bylaws and rules and regulations and the hospital bylaws.17. Provide for records of attendance and minutes that adequately reflect the transactions, conclusions, and recommendations of the medical staff.18. Require and include procedures for evaluation of medical care.15 Miss. Code. R. 16-1-41.7.17
Miss. Code Ann. § 41-9-17